Texas Board of Nursing Update February 23, 2018
Objectives 1. Discuss implications of the Enhanced Nurse Licensure Compact (enlc). 2. Describe recent trends and regulatory updates relevant to nurse executives. 3. Discuss future regulatory activities of the Texas Board of Nursing.
Enhanced Nurse Licensure Compact (enlc) Implemented Jan. 19, 2018 24 of 25 the original NLC states transitioned to the enlc WI, CO, & NM are in the enlc Only 1 original NLC state did not implement: RI 5 new states who were not in the NLC have joined the enlc FL, GA, OK, WV, & WY
Enhanced Nurse Licensure Compact (enlc) Nurses holding a compact license prior to 7/20/17 were automatically grandfathered. No action is needed. Nurses issued a compact license after 7/20/17 are required to meet the enlc uniform licensure requirements (ULRs). Applicants who are ineligible for a compact license may still be eligible for a single state license.
Uniform Licensure Requirements (ULRs) 1. Meets the home state s licensure qualifications; 2. Graduation from a boardapproved nursing education program; or from a foreign education program approved by authorized accrediting body in applicable country verified by an independent credentials review agency to be comparable to a board approved prelicensure education program; 3. Pass an English examination, if a graduate of a nursing education program not taught in English, or if English is not the applicant s native language; 4. Pass NCLEX-RN or NCLEX- PN Examination; 5. Eligible for or holds active, unencumbered license; 6. Criminal background check; 7. No Felony background; 8. No misdemeanor offense related to the practice of nursing as determined on a case-by-case basis; 9. Is not currently enrolled in an alternative program; 10.Is required to self-disclose current participation in an alternative program; and 11.Has a valid U.S. Social Security number. For complete description of ULRs, visit:
Enhanced Nurse Licensure Compact (enlc) A nurse holding a compact license issued from another party state is not required to obtain a Texas license upon employment in Texas, unless the nurse establishes permanent residency in Texas. Driver s license with home address; Voter registration card with home address; Federal income tax return declaring the primary state of residence; Military Form No. 2058 state of legal residence certificate; or W2 from US Government or any bureau, division or agency thereof indicating the declared state of residence
Enacted & Pending enlc Legislation 9 more states have pending enlc legislation!
Recent Trends & Regulatory Updates
Current RN/LVN Licenses 2012-2017
DISCIPLINE IN RELATION TO TOTAL POPULATION FY 2017
Sunset 2017
Adopted Rule Changes Adopted at January 18-19, 2018 Board Meeting: Rule 217.2 relating to Licensure by Examination for Graduates of Nursing Education Programs Within the US Rule 214.9 relating to Program of Study (Vocational Nursing Education) Rule 213.27 relating to Good Professional Character Rule 213.38 relating to Licensure of Individuals with Criminal History & the Board s Disciplinary Guidelines for Criminal Conduct Rule 217.12 relating to Unprofessional Conduct
Proposed Rule Changes Proposed at January 18-19, 2018 Board Meeting: Rule 217.16 relating to Reporting of Minor Incidents Rule 217.19 relating to Incident-Based Nursing Peer Review and Whistleblower Protections Rule 217.20 relating to Safe Harbor Rule 213.35 relating to Knowledge, Skills, Training, Assessment and Research (KSTAR) Pilot Program
Additional Updates Board Position Statements reviewed and updated New Position Statement 15.30 Workplace Violence New Education Guideline 3.1.1.g. Proposal to Establish a New Nursing Education Program Associate Degree to Baccalaureate Degree in a Public Junior College
Texas Nursing Education Updates (NCLEX-RN ) Texas is one of 3 states with more than 10,000 first-time NCLEX-RN candidates. Other 2: California and Florida 66 programs with >90% pass rates 7 programs with 100% First time candidates only used for calculating pass rates
2017 NCLEX-RN Pass Rates Exam Year Texas Average US Average 2017 89.77% 86.94% 2016 87.14% 84.30% 2015 85.22% 84.18% 2014 81.02% 81.74% 2013 83.93% 84.29%
NEW RN/LVN LICENSES BY NCLEX EXAM: 2012-2017
https://texasattorneygeneral.gov/human-trafficking
What s Next? Future Regulatory Activities
NCSBN Next Generation NCLEX Project https://www.ncsbn.org/ne xt-generation-nclex.htm Aim: Determine whether clinical judgment and decision making in nursing practice can be reliably assessed through the use of innovative item types.
Future Activities Nursing Practice Advisory Committee Ch. 216 Continuing Competency Advanced Practice Nursing Advisory Committee Ch. 221 Advanced Practice Nurses Task Force to Study Implications of Growth of Nursing Education Programs in Texas CNO/Nurse Leader Board Rule Resource Targeted Assessment & Remediation Pilot(s)
Board Resources www.bon.texas.gov Contact Us: Webmaster@bon.texas.gov Practice: 512-305-6802 APRN Licensure: 512-305-6843 Education: 512-305-6816 2018 Continuing Competency Workshops and Online CNE Offerings www.bon.texas.gov/catalog/
THANK YOU! Kristin K. Benton, DNP, RN Director of Nursing Texas Board of Nursing 512-305-6839 Kristin.Benton@bon.texas.gov